LIGHTHOUSE HOSPICE OF ALABAMA NPI 1104926351

NPI Information

NPI: 1104926351
Provider Name: LIGHTHOUSE HOSPICE OF ALABAMA
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
413 S BRUNDIDGE ST
SUITE B
TROY, AL
ZIP 36081
Phone: (334) 566-4357
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LIGHTHOUSE HOSPICE OF ALABAMA is a hospice care community based in Troy, AL. LIGHTHOUSE HOSPICE OF ALABAMA NPI is 1104926351. The provider is registered as an organization entity type.

The provider's business location address is:

413 S BRUNDIDGE ST
SUITE B
TROY, AL
ZIP 36081-331
Phone: (334) 566-4357
Fax: (334) 566-2220

The provider's authorized official is Thomas Paul Outlaw .
The authorized official title is Ceo and has the following contact phone number (334) 566-4357.

The enumeration date for this NPI number is 9/25/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based		11735	ALABAMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	PIC1636E	MEDICAID	ALABAMA
2	013221	OTHER	ALABAMA	BCBS OF AL PROVIDER #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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